Page 15 - City of Newport City BG- Full Time

2020 Monthly Contributions/Premium Rates

Cafeteria & Medical Allowance Contributions

Association Cafeteria Allowance Medical Allowance Opt-Out Opt-Out
(Amount subject to hire date) (must enroll in a Allowance Allowance
health plan to
receive)
K&M Hired on/before Hired on/after $139.00 Hired on/before Hired on/after
4/12/2019 4/13/2019 4/12/2019 4/13/2019
Match all premiums up to
$1,725.00 $1,725.00/No cash back $1,000.00 $500.00

CEA & Hired on/before Hired on/after $139.00 Hired on/before Hired on/after
3/15/2019
3/16/2019
Prof/Tech Match all premiums up to 3/15/2019 3/16/2019
$1,725.00
$1,725.00/No cash back $1,000.00 $500.00
FMA Hired on/before Hired on/after $139.00 Hired on/before Hired on/after
6/21/2019 6/22/2019 6/21/2019 6/22/2019
Match all premiums up to
$1,824.00 $1,824.00/No cash back $1,000.00 $500.00

FA $1,824.00 $139.00 $1,000.00 $1,000.00
League $1,725.00 $139.00 $1,000.00 $1,000.00
LMA Hired on/before Hired on/after $139.00 Hired on/before Hired on/after
9/27/2019 9/28/2019 9/27/2019 9/28/2019
Match all premiums up to
$1,645.00 $1,000.00 $1,000.00
$1,645.00/No cash back
PA & PMA $1,524.00 $139.00 $1,000.00 $1,000.00

2020 Monthly Premium Rates
Region 2 – Fresno, Imperial, Inyo, Kern, Kings, Madera, Orange, San Diego, San Luis Obispo, Santa Barbara, Tulare,
and Ventura Counties:
PERS HMO Plans Single 2-Party Family
Anthem Select HMO $654.04 $1,308.08 $1,700.50

Anthem Traditional HMO $934.95 $1,869.90 $2,430.87
Blue Shield Access+ HMO $909.87 $1,819.74 $2,365.66
Health Net Salud y Mas HMO $435.14 $870.28 $1,131.36

Health Net SmartCare HMO $719.26 $1,438.52 $1,870.08
Kaiser (CA) HMO $645.24 $1,290.48 $1,677.62

Sharp HMO $606.02 $1,212.04 $1,575.65
UnitedHealthcare HMO $671.60 $1,343.20 $1,746.16
PERS PPO Plans
Single 2-Party Family
PERS Choice PPO $736.28 $1,472.56 $1,914.33
PERS Select PPO $451.54 $903.08 $1,174.00

PERS Care PPO $986.66 $1,973.32 $2,565.32

PORAC PPO $749.00 $1,499.00 $1,960.00

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